Title Page

  • Conducted on

  • Prepared by

Site Details

  • Location

  • Auditor

  • Auditee(s)

  • Select date

Management Compliance (1)

  • Enter the dates of any relevant documentation (or key information) into the notes field for each question

  • Is there a Contract Management Plan in place?

  • Is the QSHE Integrated Management Systems (Working File) available for inspection and is it in good condition with sections completed and up to date?

  • Is there an Asbestos Survey and Management Plan on site ?<br><br>If so what is the date of that survey ?

  • Does the team know what QSHE is and why it is important?

  • Are the Risk Assessments suitable and sufficient, whilst covering all activities?

  • Are Health and Safety Incidents, Unsafe Acts and Near Misses being reported and managed correctly?

  • Have there been any Government Agency visits in the last 12 months ?

  • Are Managers and Supervisors for the site carrying out their required number of CATS Audits per month?

  • Carry out a CATS audit

Management Compliance (2)

  • Enter the dates of any relevant documentation (or key information) into the notes field for each question

  • Is there a local ‘Aspects and Impacts’ register for the site, and is it retained on site ?

  • Are Waste Transfer Notes and Hazardous Waste Consignment notes retained on site ?

  • Are workplace inspections being carried out, such as cleaning cupboard inspections ?<br><br>What as the date of the last inspection ?

  • Are training records up to date ?

  • Havel all staff received a QSHE induction and been issued with a QSHE Handbook and Zip Card ?

  • Is there any evidence of employee consultation ? E.g. QSHE meetings, toolbox talks and other means of communications.

  • Are toolbox talks being carried out ?<br><br>What was the date (and topic) of the last toolbox talk ?

  • Is the electrical equipment (other than IT equipment) being PAT tested ?<br><br>What was the date of the last test ?

  • Is there suitable evidence of control of corrective actions ?<br><br>Give an example of what you can see.

  • Are there spillage response plans / training for operatives in place ?

  • Are there any other points of concern in relation to management controls ?

Fire Safety

  • Enter the dates of any relevant documentation (or key information) into the notes field for each question

  • Is there a Fire Risk Assessment available on site ? <br>Enter the date of the risk assessment, and the last risk assessment review.

  • Have all the Fire Risk Assessment remedial actions been carried out

  • Are tests of the Fire Alarm system being carried out weekly ?

  • Are the Break Glass call points being tested in rotation - so that all points are tested over a 13 week period ?

  • Is the Fire Alarm system being maintained? <br><br>If so what is the date of the last maintenance ?

  • Are the Fire Doors being inspected ?<br><br>If so what is the date of the last inspection ?

  • Are the Fire Dampers being maintained ?<br><br>If so what is the date of the last Maintenance ?

  • Is the Fire Stopping being inspected ?<br><br>If so what is the date of the last inspection ?

  • Are the Fire Extinguishers being maintained ? <br><br>If so what was the date of the last maintenance ?

  • Are bi-annual Fire Evacuation Drills being carried out ?<br><br>If so, what was the date of the last drill ?

  • Pick any question from the list above - can you see that remedial actions identified have been carried out ?

  • Are there any other points of concern in relation to Fire Safety ?<br><br>If so please list here

Emergency Lighting

  • Enter the dates of any relevant documentation (or key information) into the notes field for each question

  • Are the monthly Emergency Lighting Tests being carried out ?<br><br>If so what is the date of the last test ?

  • Is the Annual Emergency Lighting discharge test being carried out ?<br><br>If so what is the date of the last test ?

  • Can the site team evidence that they understand which lights are to be tested ? <br><br>How is this evidenced ?

  • Can you see that remedial actions have both been identified and carried out ?

  • Are there any other points of concern in relation to Emergency Lighting ?

Water Management

  • Enter the dates of any relevant documentation (or key information) into the notes field for each question

  • Is there a Water Risk Assessment available on site ?<br><br>If so what is the date of the last assessment ?

  • If the Water Risk Assessment is greater than 12 months old, has a review of the Water Risk Assessment taken place ?<br><br>If so what was the date of that assessment ?

  • Have the remedial actions from the Water Risk Assessment all been completed ?

  • Can you see evidence that the Monthly Tap Temperature checks are all being undertaken ?<br><br>If so what is the date of the last check ?

  • Are all the hot water temperatures above 50 Dec C, and cold water temperatures below 20 Dec C ?<br><br>If not - can you see that remedial action has been taken as a result ?

  • Can you see evidence that any little used outlets have been identified and are being flushed weekly ?<br><br>If so what is the date of the last flushing ?

  • Can you see evidence that the quarterly shower head cleaning is taking place ?<br><br>If so what was the date of the last clean ?

  • Can you see evidence that the actions required in the Water Management system are all being undertaken (e.g. reviews of the water log book, Legionella sampling etc.) ?

  • Can you see that the closed water systems analysis is taking place ?<br><br>If so what is the date of the last analysis ?

  • Are there any other concerns in relation to Water Management ?

Critical Systems

  • Enter the dates of any relevant documentation (or key information) into the notes field for each question

  • Has the Electrical System been subject to a periodic test within the last 5 years ?<br><br>If so what was the date of that test ?

  • If there are any lifts on site - have they been subject to regular maintenance ?<br><br>If so what was the date of the last maintenance ?

  • If there are any lifts on site - have they been subject to periodic inspection by a competent person (Insurance Inspector) in the last 6 months ?<br><br>If so what was the date of that inspection ?

  • If there are any Generators on site - have they been subject to periodic maintenance ?<br><br>If so what was the last date of that maintenance ?

  • If there are any UPS systems on site - have they been subject to periodic maintenance ?<br><br>If so what was the date of that maintenance ?

  • Are there any Fire Suppression systems on site - if so have they been subject to periodic inspection ?<br><br>If so what is the date of that inspection ?

  • Pick a question from the list above - can you see evidence that any remedial actions identified have been carried out ?

  • Are there any other points of concern in relation to Critical Systems ?

Business Continuity

  • Enter the dates of any relevant documentation (or key information) into the notes field for each question

  • Are Emergency Procedures and Business Continuity Plans in place ?

  • Have there been any testing of Business Continuity plans ?<br><br>If so what was the date of the last test ?

  • Are there any other areas of concern in relation to business continuity ?

Customer Satisfaction

  • Enter the dates of any relevant documentation (or key information) into the notes field for each question

  • Do we record customer complaints and respond to customer concerns ?

  • Does the auditee know what their performance scores were for the last month ?<br><br>And what are they doing to improve it ?

  • Do we monitor satisfaction with our director customers on site ?<br><br>If so how ?

  • Are there any other points of concern in relation to customer satisfaction ?

Meeting the staff

  • Take some time to go and meet some of the Interserve site team, explaining who you are and what the visit is about, and asking some of the following questons.

  • Are the team all in the correct, standard, uniform ?

  • Do they remember having an induction when they started working there ? Do they feel the understand the risks of where they work and what they do ?

  • Have they received any training in the last 6-12 months ? <br><br>If so, what was it ?

  • Have they had a toolbox talk in the last 2 months ? <br><br>If so, what was the topic ?

  • Do they have all the information and tools they need to do their job properly ?<br><br>If not, what is missing ?

  • Do they have all the PPE they need for their job ?<br><br>And are they using it - can you see evidence that they have it to hand ?

  • Are there any other points of concern in relation to employee engagement and wellbeing ?

External Areas

  • Go and inspect the external areas, particularly the main access to the building and car park - as well as to the back of house areas such as Waste Storage compound etc.

  • Is the Site main entrance well kept and signposted ?

  • Is the Building main entrance well kept and signposted ?<br><br>Is the area clean and tidy ? well swept etc.

  • Are the waste storage facilities well kept and tidy ?

  • Are the waste storage facilities and pick up frequencies optimised, taking into account the volume of waste produced on site ?

  • Are the external Fire Escapes clear, well signposted and lit ?

  • Are there any other points of concern in relation to the external areas ?

Internal Areas

  • Go for a tour of the building, checking the overall standards of the main areas, ahead of a review of key technical areas in the next section.

  • Did you get a warm welcome from Reception on arrival ?<br><br>We’re any Interserve staff polite, attentive and wearing the correct uniform ?

  • Is Reception clean, tidy and well signposted ?

  • Check the condition of the hubs - are they clean and well stocked ?

  • Check the condition of the toilet facilities - are they clean and well stocked, with no overflowing rubbish from the waste bins etc.?

  • Are the cleanliness levels across the building to an acceptable standard ?

  • Are the Fire Escape routes well marked and clear of rubbish / obstructions etc. ?

  • Are there any other points of concern in relation to the internal areas ?

Cleaning Cupboards

  • Visit a Cleaning Cupboard

  • Is the room tidy and well kept in order ?

  • Are chemicals being effectively stored with COSHH assessments available ?

  • Is PPE available and being stored correctly ?

  • Is PPE in good state of repair and fully operational ?

  • Is all portable electrical equipment up to date with PAT testing ?<br><br>What is the date of the last test ?

  • Are there any other points of concern in relation to the Cleaners Cupboard

Plant Rooms

  • Visit a Plant Room

  • Is the room tidy and well kept in order ?

  • Are chemicals being appropriately stored and COSHH assessments available ?

  • Is access equipment all in date ?<br><br>What was the date of the last inspection ?

  • Check a fire extinguisher - is it in date ?<br><br>What was the date of the last inspection ?<br>What was the date of the last pressure test ?

  • Is the room suitably fire stopped with no breaches of the fire compartment ?

  • Are there any other points of concern in relation to the plant room ?

Critical Areas

  • If there are any on site, then visit a Generator Room, UPS room and Computer/Comms Room.

  • Generator Room - Is the room in a good condition and well kept ?

  • Generator Room - is there a spill kit and spillage plan in place ?

  • Generator Room - If there is an ‘Emergency Stop’ button for the Generator - is it effectively shrouded to prevent accidental use ?<br>

  • UPS Room - is the room clean and well kept ?

  • UPS Room - If there is an ‘Emergency Power Off’ button - is it suitably shrouded to prevent accidental use ?

  • Computer/Comms Room - is the room clean and well maintained ?

  • Computer/Comms Room - is there an ‘Emergency Power Off’ button - if so is it effectively shrouded to prevent accidental use ?

  • Computer/Comms Room - is the fire suppression system within test date ?<br><br>What was the date of class inspection ?<br>What was the date of the last (10 year) cylinder pressure test ?

  • Are there any other points of concern in relation to the critical areas ?

Sign off

  • Auditor

  • Auditee

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.